Tracheoesophageal fistula (TEF) is an abnormal connection between trachea and esophagus. Acquired TEF arise from trauma, caustic fluids ingestion, and iatrogenic injuries (ventilation, esophageal atresia repair, radiation, tracheal/esophageal stents). We discuss diagnosis, anesthetic management, and surgical correction of battery swallow-induced TEF, not previously reported in pediatric anesthesia and otorhinolaryngology literatures.